It is important that we collect information on your availability for the season and we ask that you keep in mind that your responses will play a large factor in the hiring decision.

The first day that I can work is:*

The last day that I can work is:*

Spring

Are you able to work after school during the week?*

Yes

No

If yes, what time can you be here on school days?*

How many hours a week are you able to work?*

What is your last/first day of school?*

Are you able to work Saturdays?*

Yes

No

Are you able to work Sundays?*

Yes

No

What days/times are you available?*

Sat.

Sun.

Mon.

Tue.

Wed.

Thu.

Fri.

Summer

Are you able to work after school during the week?*

Yes

No

If yes, what time can you be here on school days?*

How many hours a week are you able to work?*

What is your last/first day of school?*

Are you able to work Saturdays?*

Yes

No

Are you able to work Sundays?*

Yes

No

What days/times are you available?*

Sat.

Sun.

Mon.

Tue.

Wed.

Thu.

Fri.

Fall

Are you able to work after school during the week?*

Yes

No

If yes, what time can you be here on school days?*

How many hours a week are you able to work?*

What is your last/first day of school?*

Are you able to work Saturdays?*

Yes

No

Are you able to work Sundays?*

Yes

No

How many hours a week are you able to work?*

What days/times are you available?*

Sat.

Sun.

Mon.

Tue.

Wed.

Thu.

Fri.

Winter

Are you able to work after school during the week?*

Yes

No

If yes, what time can you be here on school days?*

How many hours a week are you able to work?*

What is your last/first day of school?*

Are you able to work Saturdays?*

Yes

No

Are you able to work Sundays?*

Yes

No

If you have any special scheduling needs during either the Spring or the Fall due to sports, band practice, etc., please indicate it here:*

What days/times are you available?*

Sat.

Sun.

Mon.

Tue.

Wed.

Thu.

Fri.

Please indicate any vacations/special occasions that you have planned for the year:

*

REASON

DATE(S)

Any additional information:*

I understand that any desired changes to the above schedule must be approved by my manager and may affect my employment status.

I authorize the above employer to obtain information about me from my previous employer(s), schools, and references. I authorize my previous employers, schools that I have attended, and references to disclose to the above employer such information about me as the employer may request.

I attest that the above information is true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge.